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32 | The reporting party (RP) alleged that Child #1 has experienced recurring diaper rashes that continued after transitioning from the infant program to the preschool program in May 2025. RP reported stated that at least five incidents in which Child #1 returned home with a rash, which RP states is due to staff not changing diapers frequently. RP stated that staff had informed them that diapers were being checked regularly, but despite this, rashes persisted. RP also reported that on one occasion (date unspecified), staff mentioned a “small rash” at pickup, but upon inspection, RP observed a “severe rash.” RP further stated that Child #1 was seen by a physician and further clarified that the child’s recent medical appointment was a routine check-up and was not specifically related to the diaper rash but was mentioned. RP did not get a note from the visit. RP confirmed they provided two topical creams for the child and recently requested that Child #1 be changed every hour. RP also requested on 9/2/25 that only parent-provided diapers and wipes be used. RP also states that of the five incidents (dates unknown) of diaper rash maybe 2 of them were not told to them (dates unknown). The RP indicated that no medical attention treatment was obtained for the alleged severe diaper rash.
LPA conducted interviews with additional parents of children in care. No disclosures or concerns were made regarding the allegation above.
LPA Perry conducted staff interviews. All staff stated that diapers are changed every two hours or as needed or when a child has a rash, staff increase changes to every hour and apply cream, if parental authorization forms are on file. Staff stated that for Child #1, parental concerns were communicated during the transition from the infant to the preschool program. Staff confirmed that the use of Aquaphor at every diaper change and Desitin for diaper rash were followed, per parental authorization. Staff reported they were aware of with the parent’s more recent request for hourly diaper changes. LPA Perry reviewed Child #1’s file and confirmed parental consent forms authorizing the use of Aquaphor and Desitin were on file. LPA reviewed diaper logs and facility’s parent communication app. LPA Perry observed diaper cream stored appropriately per Title 22 regulations. LPA Perry observed staff following proper diaper changing procedures throughout the investigation. LPA Perry reviewed a physician’s note dated November 2024 documenting treatment for diaper rash; however, no recent physician notes were observed regarding the five alleged incidents since Child #1’s transition to the preschool program. LPA also observed facility policy on Toddler/Preschool needs and Service plan which indicate child’s diapers are checked every 2 hours or changed as needed. LPA reviewed photos related to the allegation. Based on observations, the child’s diaper area appeared to be red and pink; however, there were no visible blisters, bleeding or other severe issues noted. |